| Organization Name: | NORTH JEFFERSON COUNTY AMBULANCE DISTRICT |
| NPI Number: | 1093711095 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER WILSON (BUSINESS MANAGER) |
| Mailing Address: | 2820 Horrell Ln High Ridge |
| State: | MO US |
| Postal Code: | 630492300 |
| Phone Number: | 6366773399 |
| Fax Number: | 3144720526 |
| NPI Enumeration Date: | 06/23/2005 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 099074 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |